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December 1957

Circinate Retinopathy: Part I

Author Affiliations

New York
From the Department of Ophthalmology, New York University Post-Graduate Medical School.

AMA Arch Ophthalmol. 1957;58(6):777-782. doi:10.1001/archopht.1957.00940010799001

In 1893 Ernst Fuchs1 first reported as an entity a group of 12 cases, 8 of which he considered typical. He coined the term retinitis circinata to describe them, for the retinal picture strongly brought to mind the skin lesion herpes circinatus (tinea circinata).

These cases occurred predominantly in elderly women and involved one or both eyes in a chronic disease process. All showed a gray or yellow-gray macular discoloration encircled by a zone of small discrete or larger coalescing white spots, with an intervening relatively normal retinal area. The central discolored area was small at first but later became disc-sized or somewhat larger. It had no sharp boundary and at times appeared slightly raised. There was minimal or no pigment proliferation seen in these cases. The incomplete ring of white faintly glistening spots was always deep to retinal vessels. Ageing spots became dirty white. The central changes persisted

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